A prospective study of the effect of a unilateral macular hole on sensory and motor binocular function and recovery following successful surgery

The British Journal of Ophthalmology
K MireskandariJ J Sloper

Abstract

To examine the effect of a unilateral full thickness macular hole on sensory and motor binocular function and to study recovery after successful surgical closure. Twenty eight consecutive patients undergoing surgery for a unilateral macular hole underwent orthoptic examination, including measurements of Titmus and TNO stereoacuity and motor fusion range before surgery. Twenty three patients had successful anatomical closure. Fifteen of these patients, who had both improved acuity in the operated eye following surgery and were available for further testing, underwent repeat orthoptic assessment 2-7 months after surgery. In all patients stereoacuity was reduced before surgery, but few patients were subjectively aware of a deficit of depth perception affecting their everyday life. In those patients with improved Snellen acuity after surgery, stereoacuity measured by the Titmus stereotest also improved significantly, but not that measured by the TNO test. Two patients were aware of a subjective improvement in depth perception. Motor fusion was markedly reduced compared to normal before surgery, with only limited recovery after surgery. A unilateral macular hole notably reduced both stereoacuity and motor fusion. Successful closure ...Continue Reading

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Citations

Dec 20, 2005·The British Journal of Ophthalmology·L Garnham, J J Sloper
Jan 28, 2014·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·Hiroki WatanabeTetsuro Oshika
Apr 2, 2008·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·Philip W LairdJonathan M Holmes
Apr 10, 2007·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·Philip W LairdJonathan M Holmes
Jan 24, 2007·Ophthalmology·Jonathan M HolmesBrian G Mohney
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Feb 23, 2020·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·Fumiki OkamotoTetsuro Oshika
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Feb 20, 2020·Scientific Reports·Fumiki OkamotoTetsuro Oshika
Nov 13, 2020·Scientific Reports·Fumiki OkamotoTetsuro Oshika
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